Core ServicesThe technologies that make up the NC HIE platform – the engine for everything elseParticipant ServicesThis is where NC HIE adds new services and value in addition to its coordinating role. Think of it like an “app store” for participating organizations, where they can find analytics, consultative help and other offerings that improve specific aspects of the health care ecosystems (i.e., Medication Management).Connectivity Services Clinician access to information from other State, Regional or Federal databases. This is where NC HIE lets participants talk outside their own communities.Qualified Organization Enablement and EnrichmentHelping to develop local programs and services
IntegrationInformation from multiple health care entities reduces medical errors and helps avoid duplication of servicesCommunicationBetter coordination during transitional care eventsInsightTurns information into insights, enabling rapid advancements and better decisionsAgilityStreamlining operations, accelerating the pace of innovation and ensuring complianceCustomUniquely designed for the NC health care system – not just an off-the-shelf solution
NC HIE Himss discussion 21feb2012
NC Health Information Exchange: Example of State Health Network February 21st, 2012 Presenter: Jeff Miller
NC HIE Overview and Governance• Nonprofit organization established as a Statewide Designated Entity (SDE) in April 2010• Board of directors: 25 CEOs and health care leaders in the North Carolina community• Four workgroups: strategy and policy experts on – Clinical and technical operations – Governance – Finance – Legal and policy
Setting the Strategic Agenda – NC HIE Mission NC HIE will provide a set of secure, scalable information services that • Promotes the access, exchange and analysis of health care information • Enables participating organizations to: – Improve medical decision-making and coordination of care – Improve health outcomes – Control health care costs
Why a NC Health Information Exchange?Four focus areas for NC HIE initiatives:
NC HIE Services Overview• HIE Connectivity Fabric – Connectivity with participating systems: CCD, HL7, SSO, Web Services (Rhapsody™). – Storage of clinical information (CDR). – EMPI. – Data normalization. – Privacy and consent• Virtual Patient Record Network – Web-based access to the longitudinal patient record (Clinical Portal). – User subscribed notifications• Data Delivery Services –Lab results• Direct Secure Messaging – Ability to send/receive secure messages with other Direct providers – Support for Direct-enabled EMR systems
Timeline Core Services Phase IA • EMPI/provider • Medication directory management • Security • Immunization registry • Privacy and consent • Practice analytics • Clinical messaging • Lab results • VA Gateway • DIRECT • Web-based clinical portal • Notifications • Virtual QO services • Hosted EMR Phase IB and Beyond • Lab ordering • Referrals • Procedural results • Senior care • Pharmacy • Mobile gateway • Consumer portal • Medical device gateway • Payer gateway • Clinical decision support • Medical imaging • Vital records • Population health analytics • Advanced directives • Syndromic surveillance • Home health • Public health reporting • NwHIN trading partners
Benefits to the Health Ecosystem Across all insurance types,North Carolina has an EHR sites were associatedinbound move rate of 55.4%. with significantly higherAccording to Forbes, Raleigh achievement of care andand Charlotte remain two of outcome standards andthe most popular cities for greater improvement inrelocation. diabetes care.There are almost 200,000deaths a year frompreventable medical errors, American patients have seenpartly because this an average of 18.7 differentinformation is not readily doctors during their lives.available to specialists andemergency rooms.By reducing their Only 6.3% of physicians usedependence on paper a fully-functional electronicrecords, a practice seeing health record system in their3,000 patients annually could practice.save $24,000.At the highest level of health Emergency Departments withIT adoption, only 0.001% of connectivity to an HIE haveprescriptions would require a improved productivity byphone call between a more than 20%pharmacist and physician.
What’s in it for everyone?Providing NC with better, safer,more affordable care• Integration• Communication• Insight• Agility• Custom
Comparing NC and NL situationNorth Carolina Netherlands• Government actively supporting HIEs • Government in doubt how to support• Patiënt consent: opt-in needed (for regional and national HIE sharing, not collecting) • Patiënt consent: opt-in needed (for both• Healthcare data also used for analysis collecting and sharing) on population level • Healthcare data only used on patiënt• Based on international standards (CCD level / HL7) • Based on international standards (CCD• Almost 10 million inhabitants, 3,5 times / HL7) the area of NL.
Prerequisites for successful implementation• Changing the way of working of a multitude of organizations and persons, is a tough job.• Drivers for change are both quantitative and qualitative – Higher quality of care and lower cost (or more income)• Even if both are the projected outcome of a network-project, a couple of objectives must be met to become successful: – The will to exchange the patients data – and be serious about it – A compelling business case for the total value chain – A fair business model promoting the use for each of the participant in the network – An HIE system that is integrated with the current IS of the caregivers • Individual healthcare providers have little influence on development roadmap of ISVs
Thank you, Jeff Miller ! • Thanks for sharing your thoughts and experiences with us today. • "Im Sure its No Coincidence that Were Sitting at this table Together. Some things cannot be Mere Chance; everybody has got an example of this. On the other hand I think its Nonsense to Say Chance doesnt Exist. I mean Whats the Chance that Nothing ever happens by chance"Text and design by Nicole van Schouwenburgfor Royal Delft – Koninklijke Porceleyne Fles
Thank you, and have a great time at HIMSS 2012Jeff Miller Toon van der Werf• CEO NC HIE - Health Information • Consultant Vakgroep Zorg Capgemini Exchange Netherlands• firstname.lastname@example.org • email@example.com • +31(0)629 056 330 • Booth #13642-12
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